1. A nurse is collecting date from a school-age child. The nurse should identify that which of

the following findings is a manifestation of physical abuse?

a) Multiple dental caries

b) Malnutrition

c) Recurrent urinary tract infections

d) Bruises at various stages of healing (The nurse should recognize that bruises at various

stages of healing are a clinical manifestation of physical abuse.)

2. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated

appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the

following instructions should the nurse include in the teaching?

a) “You can begin drinking fluids again 2 days after your surgery.”

b) “You will need to ask for pain medication for the first 24 hours after surgery.”

c) “You will have your vital signs monitored every 8 hours after surgery.”

d) “You will sit in your chair at least twice a day after surgery.” (The nurse should instruct

the client that she will sit in a bedside chair at least twice a day and will be encouraged to

ambulate as soon as possible following surgery. This activity will enhance lung function

and help prevent postoperative complications.)

3. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent

of a 1-month-old infant. Which of the following statements by the parent indicates an

understanding of the teaching?

a) “I will let my baby sleep with me in bed at night.”

b) “I will allow my baby to have a pacifier while sleeping.” (The nurse should reinforce

with the parent that allowing the infant to fall asleep with a pacifier in his mouth

decreases the risk for SIDS.)

c) “I will place my baby on a soft mattress to sleep.”

d) “I will cover my baby with a quilt while he sleeping.”

4. A nurse is assisting with the care of a child who is postoperative and received a transfusion

during a surgical procedure. Which of the following findings indicates the child is havig a

hemolytic reaction?

a) Chills and flank pain (Chills and flank pain are findings that indicate an incompatibility

of the transfused blood product with the client's blood. The nurse should identify this

finding as an indication that the child is having a hemolytic reaction.)

b) Pruritus and flushing

c) Rales and cyanosis

d) Bradycardia and diarrhea

5. A guardian calls the clinic nurse after his child has developed symptoms of varicella and

asks when his child will no longer be contagious. Which of the following responses should

the nurse make?

a) “When your child no longer has a fever.”

b) “Three days after the rash started.”

c) “Six days after lesions appear if they are crusted.” (The nurse should inform the guardian

that a child will stop being contagious around 6 days after the lesions appeared, as long as

they are crusted over.)